Silk sutures are widely used as ligature and are also used for other applications like skin, ophthalmic, GI tract, etc. and are not indicated for use in biliary and urinary tract surgery. Silk sutures have moderate tissue reaction.

Black Braided Silk is a suture of natural origin, multifilament that meets the USP requirements. It is composed of an organic protein called fibroin. The high technology used in braided threads ensures high tensile compact strength, which provides longer time to support the tissue. It is available in black. It is sterilized by Ethylene Oxide.

Black Braided Silk Suture that is coated with silicon to allow easy passage through tissue, limit absorption and increase ductility. This type of suture has great knot pull strength and needle swage strength greater than USP limits.

A surgical suture made from a material unaffected by the biological activities of the body tissues, and therefore permanent unless removed.

Nonabsorbable sutures are designed to provide the maximum duration of the suture in the body without any tension reduction. This allows the wound to heal without any stress that can lead to tearing and subsequent scarring of the tissue. Like all types of sutures they have to be sterile and cause a minimum amount of tissue reaction. They also have to be uniform in diameter and size, resistant to fraying, and have the flexibility needed to remain knotted and in place. In the case of nonabsorbable sutures the material also has to be highly resistant to the natural biological response of the body to a foreign material. Instead of being absorbed by the body these sutures are encapsulated by fibroblasts to help retain the sutures in place for optimum wound healing.

Few Indian Major Players are as under

· Centenial Surgical Suture Ltd.

· HLL Lifecare Ltd.

· Johnson & Johnson Pvt. Ltd.

· TTK Medical Devices Ltd.

Market Outlook

In 2016, Indian surgical suture Market was 1,052 Crore and is expected to grow at a CAGR of 5-6% in next five years. Many factors such as increasing number of surgical procedures, the rise in medical tourism and oncology surgeries have helped suture market grow in India, but it expected that advanced wound care techniques might replace suture up to certain extent.

Currently, Absorbable suture occupy ~60-65% of market share in entire suture market and will show high growth of ~7% whereas non-absorbable suture of ~4% during 2016-2021.

The Global Surgical Sutures Market size is projected to reach $5,255 million by 2022 from $3,360 million in 2015, growing at a CAGR of 6.4% during the forecast period.

The market growth is driven by the global surge in surgical procedures due to increased incidences of various chronic diseases and technological advancements in surgical suture products. However, lack of proper sterilization system in healthcare organizations and unfavorable taxation policies are expected to hinder the surgical sutures market growth.

The surgical sutures market is segmented by product type, application, and region. Based on product type, the market is broadly segmented into automated suturing devices and sutures. The sutures market dominated the market with 85.4% share in 2015 and is estimated to continue its dominance during the forecast period. By type, the global sutures market is bifurcated into absorbable sutures & non-absorbable sutures. Absorbable sutures are widely used in multiple surgeries, especially for surgeries performed on internal organs, as they are biodegradable and get hydrolyzed in the body tissue after a certain period of time. This segment accounts for the largest share of the sutures market in 2015 and is expected to be the fastest-growing market during the forecast period.

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